Lung lama harsatna hian i thinlung dinglam pawh a nghawng em? (Cor Pulmonale / Right-Sided Heart Failure) Hemi chungchang hi han sawi ila!

A châng chuan thawk hah deuhin i inhria em, a nih loh leh i rilruah thil mak tak tak i nei em? I ngaihtuah lo pawh a ni mai thei, i lung lama harsatna awm chuan i thinlung a nghawng thei bawk. Chu chu vawiinah kan sawi dawn a ni. Hei hi `Cor Pulmonale` emaw `Right-Sided Heart Failure` emaw an ti a. Ngaihtuah buai suh, he thu hi awlsam takin kan sawi dawn a ni.

`Cor Pulmonale` tih hi eng nge ni?

A awlsam zawngin, `Cor Pulmonale` hi i lung chhunga awm, i thinlung dinglam, ventricle dinglam , chu a lian a, a thawk tha thei lo va, zawi zawiin i thinlung a tichak lo a ni. Hei hi a takah chuan `Right-Sided Heart Failure` chi khat a ni.

Tunah chuan, en teh, hei hi a tlangpuiin a thleng thin. I thinlung ventricle dinglam chuan thisen chu lungah a pump lut a, oxygen a la chhuak thin. He thisen hi thisen kalna kawng pakhat pulmonary artery an tih hmangin a kal a ni . Amaherawhchu, lung natna thenkhat avang hian he pulmonary artery chhunga thisen sang hi nasa takin a sang chho thin. Tui pipe khar ang mai a ni. Tichuan ventricle dinglam hian lungah thisen pump turin nasa zawkin hna a thawk a ngai a ni.

Ngaihtuah teh, thli tleh niah car kawngkhar hawn i tum a. Kawngkhar chu thlipui do turin chakna nasa tak i hman a ngai a ni lawm ni? Chu chu ventricle dinglam ah chuan a thleng thin. Pulmonary artery, a tlangpuiin pressure hniam nei hian thisen a pump a ngai a, hei hi pressure sang lakah a pumpelh a ngai a ni. Hetianga a thawhrim zel chuan ventricle dinglam chu a lian zauh zauh a, a taksa ruhte pawh a chak lo a, a tawpah chuan a thawk tha thei lo. Chu chu `Cor Pulmonale` kan tih chu a ni. I hrethiam em?

`Cor Pulmonale` chi hrang hrang lian ber ber a awm em?

Ni e, `Cor Pulmonale` hi chi hnih lian tak a awm a:

• Sudden `Cor Pulmonale` (`Acute Cor Pulmonale`): Hei hi hun rei lote chhunga awm, rang taka awm thin a ni. Entirnan, lung chhunga thisen zam (`Pulmonary Embolism`) ang chi thil vang a ni thei.
• Chronic Cor Pulmonale: Hei hi a tam ber a ni. Lung natna vangin hun rei tak chhungin zawi zawiin a lo thang lian thin.

`Cor Pulmonale` hi engtiang chiahin nge a awm?

United States ang ram atanga statistics atanga a lan dan chuan thinlung natna 6% atanga 7% inkar hi `Cor Pulmonale` avanga lo awm niin an sawi. Kan ramah pawh hetiang dinhmun hi kan ngaihtuah a ngai a ni.

`Cor Pulmonale` natna lan chhuah dan chu engte nge ni?

A tir lamah chuan symptoms i nei lo mai thei. Mahse, a natna a zual zel chuan symptoms a lang tan dawn a ni. Heng symptoms te hi Cor Pulmonale thlentu lung natna symptoms bakah hian a ni tih hre reng ang che.

A lan chhuah dan tlangpui chu:

• Thâwk harsa: .Tlemte i chau lai chauh ni lovin, a chang chuan i ding reng lai pawhin thaw halh ang maiin i awm thei.
• Bulging neck veins: Hei hi a bik takin lu tlem chawi sang chunga mut hian a lang thei.
• Ke emaw, pum emaw a hring: Ke ruh leh ke a hring thei. A châng chuan pum pawh tuiin a khat ang maiin a hring thei bawk.
• Feeling extremely tired (`Fatigue`): I chau lutuk a, i chau lutuk a, engmah i ti thei lo mai thei.
• Chest pain: Mi thenkhat chuan chest tightness emaw, na emaw an nei thei.
• Fainting episodes: A tlem hle nachungin mi thenkhat chu an muhil thei a, an tlu thei bawk.

`Cor Pulmonale` awm chhante chu engte nge ni?

`Cor Pulmonale` awm chhan ber chu lung natna chi hrang hrang, lungpui chhunga thisen sang (`Pulmonary Hypertension`) thlentu a ni. Chu chu, he dinhmun hi lung natna eng pawh, lung natna (lungs) chhunga thisen kalna kawng (pressure) tisangtu avanga lo awm thei a ni tihna a ni.

A chhan lian ber ber thenkhat chu hetiang hi a ni:

• COPD (`Chronic Obstructive Pulmonary Disease`): Hei hi `Chronic Cor Pulmonale` awm chhan ber a ni. COPD, a awlsam zawngin sawi ila, hun kal zelah lung a chhiat a, zawi zawiin thawk a harsat thin natna a ni. Meizial zu thinte zingah hmuh tur a tam ber.
• Pulmonary Embolism: Lung chhunga thisen kalna kawng khata thisen zam lo awm. Hei hi sudden cardiac arrest thlentu a ni.
• Lung tissue lakchhuahna surgery emaw accident emaw: Surgery emaw accident emaw avanga lung hmun thenkhat lakchhuah a ngai a nih chuan.
• Mechanical ventilation avanga chhiatna: A châng chuan intensive care unit-a damlote chuan heng dinhmunte hi an tawk thei a ni.
• Scleroderma: Vun leh connective tissue tikhauhtu natna a ni.
• Cystic Fibrosis: Genetic natna a ni a, taksa hnim hring (mucus) a ti thim thin.
• Thâwk lakna tichhe thei neuromuscular disorders: Thâwk chakna tichhe thei natna avanga thawk harsa.
• Lung chhunga veins awmte blockage.
• Pulmonary Fibrosis: Lung chhunga hliam awm.
• Obstructive Sleep Apnea: Mi tam takin bengchheng thinte hian he harsatna hi an nei thei. I thawk tha lo chuan i lung chhunga pressure a sang chho zel a.
• Kyphosis: Ruhro hmalam panna (forward curvature) a ni a, chu chuan lung a zau tha thei lo.

`Cor Pulmonale` vei theihna tur risk factors te chu engte nge ni?

Hetiang natna vei theihna tipungtu thil engemaw zat a awm a:

• Zuk leh hmuam thil hman (meizial zuk, betel nut ei ang chi): Hei hi a hlauhawm ber a ni.
• Meikhu, boruak bawlhhlawh thawk: Environment bawlhhlawh hian nghawng a nei bawk.
• Pulmonary hypertension thlentu lung natna nei.

`Cor Pulmonale` avanga harsatna awm thei te chu engte nge ni?

`Cor Pulmonale` natna hi enkawl tha a nih loh chuan harsatna lian tham a awm thei a ni. Chumi awmzia chu natna dang vei theihna chance a sang hle tihna a ni.

• Thinlung rhythm pangngai lo.
• Right heart failure a awm.
• Taksa chhunga oxygen level tlahniam (`Hypoxia`).
• Thil hriatna hloh fo.
• Kal natna.
• Liver natna.
• Vanduaithlak takin thihna pawh a thleng thei.

Chuvangin `Cor Pulmonale` condition hi ngaihthah tur a ni lo. Symptoms i neih chuan damdawi lam pan vat a pawimawh.

`Cor Pulmonale` hi engtin nge kan hriat theih ang?

Doctor i pan hunah i natna lan chhuah dan a zawt ang che a, a enfiah ang che. Stethoscope hmangin i rilru a ngaithla thei a, thinlung thawm danglam tak tak a hre thei bawk. Hemi hnu hian `Cor Pulmonale` a vei tih finfiah nan test eng emaw zat a ti ang.

Diagnostic test te hi engte nge ni?

• Echocardiogram: Hei hi thinlung ultrasound scan ang a ni. Heart chamber lian zia te, thinlung bang thuk zia te, thinlungin thisen a pump tha zia te a entir thei a ni. Ventricle dinglam a lian a nih chuan a lantir thei bawk.
• Chest X-ray: Hei hian lung dinhmun leh thinlung lian leh te chu a rough idea a pe thei a ni.
• Electrocardiogram (ECG): Hei hian thinlung electric hnathawh dan a test thin. Ventricle dinglam a lian chuan ECG-ah hian inthlak danglamna hmuh tur a awm.
• Nuclear medicine imaging: Hei hian thinlung leh lung chhunga thisen kal dan tur chiang tak a pe thei a ni.
• CT Angiogram: Hei hi lung kawng (Pulmonary Embolism)-a thisen zam awm leh awm loh enfiah nan a pawimawh hle.
• Heart MRI: Thinlung insiam dan leh a hnathawh dan chiang zawka hriat theih a ni.
• VQ scan: Chuap chhunga boruak leh thisen kal dan inzawmna enfiahna test a ni.
• Right heart catheterization: Hei hi test harsa deuh a ni. Tube te tak te (catheter) chu thisen kalna kawng khat kaltlangin thinlung dinglamah an lut a, chuta pressure chu an teh thin. Hei hian pulmonary hypertension i neih leh neih loh leh a nasat dan hriat nan a pui thin.

Engtin nge `Cor Pulmonale` hi enkawl a nih?

`Cor Pulmonale` enkawlna atana ngaih pawimawh ber chu he natna thlentu lung natna enkawl hi a ni.A chhan chu, chu harsatna chu chinfel hmasak a nih chauhvin thinlunga nghawng a neih chu a tlahniam thei a ni.

Enkawlna tum berte chu:

• I taksa tissue-a oxygen mamawh zat pek.
• I thinlung ventricle dinglam chu a thawk tha zawk tura tanpui.
• Lung chhunga thisen kalna kawng a tul lo taka tihkhawtlai loh nan leh thisen awlsam zawka a kal theih nan.

Thinlung chhiatna nghet tak a thlen hmaa enkawl tan hmasak a pawimawh hle.

Eng damdawi emaw, enkawlna emaw bik nge hman?

`Cor Pulmonale` hi enkawlna hrang hrang a awm a:

• Oxygen therapy: Taksa a oxygen level a hniam chuan hnar chhunga tube dah emaw, hmui mask hmangin emaw oxygen pek a ni.
• Bronchodilators: Heng damdawi te hian lung chhunga thawkna kawng zim te chu a tizau a, thawk a ti awlsam hle. Asthma leh COPD ang chi natna enkawlna atan an hmang thin.
• Corticosteroids: Heng damdawi te hian lung chhunga inflammation tihziaawmna atan a pui thin.
• Diuretics (tui pills): Heng damdawi te hian taksa atanga tui tam lutuk chu zun hmangin a paih chhuak thei a ni. Ke hring leh ke hring ang chi natna enkawlna atan an hmang thin.
• Anticoagulants (blood thinners): Heng damdawi te hi thisen zam a lo awm loh nan emaw, thisen zam awmsa tihthianghlim nan emaw pek thin a ni. Hengte hi Pulmonary Embolism ang chi dinhmunah chuan a pawimawh hle.
• Cardiac rehab: Exercise, zirna leh counseling te awmna program a ni. Hei hian thinlung hriselna a tichak hle.
• Embolectomy: Pulmonary embolism a nih chuan a chang chuan thisen zam lian tak, lung chhunga lo awm tawh chu paih chhuah a ngai thin.
• Pulmonary vasodilators: Hei hi damdawi bik a ni a, chu chuan lung chhunga thisen kalna kawng a tizau a, pulmonary hypertension control nan a pui thin.
• Lung emaw heart-lung transplant: Damdawi dangin a hlawk loh nasat bernaah ngaihtuah a ni.

Enkawlna hian harsatna emaw, side effect emaw a nei em?

Damdawi enkawlna dang ang bawkin `Cor Pulmonale` enkawl lai hian side effect emaw complication emaw a awm thei a ni. Damdawi pek i nih dan tur chu i enkawl dan azirin a inang lo ang. I doctor chuan hengte hi a hrilhfiah ang che. Thil danglam bik i hmuh chuan doctor hnenah i hrilh nghal tur a ni.

`Cor Pulmonale` vei hian eng ang nun nge a beisei theih ang?

Dik tak chuan `Cor Pulmonale` vei tam tak chuan nunphung a tlahniam deuh mai thei. A chhan chu thawk hah leh hah ang chi thilte hian nitin hna thawh a harsat phah thei a ni. Enkawlna hmang pawhin a natna lan chhuah dan hi a lo lang leh mai thei.

`Cor Pulmonale` hi eng chen nge a daih?

Cor Pulmonale hi a tlangpuiin hun rei tak chhung natna a ni. Mahse, acute cor pulmonale, ventilator atanga chhiatna emaw, emergency, pulmonary embolism ang chi emaw avanga lo awm chu hun rei lote chhung atan a ni thei a, chu chu a chhan bulpui enkawl a nih veleh tihdam theih a ni tihna a ni.

`Cor Pulmonale` hmalam hun chu eng nge ni?

Cor pulmonale vei tan chuan a hmalam hun (or prognosis) chu lung natna hnuaia awm a ni. Chu chu, lung natna bulpui ber chu engtiang chiahin nge a nasat a, engtiang chiahin nge enkawl a nih tih hi a ni.

Entirnan, COPD hian `Cor Pulmonale` a thlen a nih chuan lung natna hi uluk taka enkawl a nih loh chuan outlook a tha vak lo. Statistics atanga a lan dan chuan COPD vanga `Cor Pulmonale` vei zinga 30% chauh chu kum nga dang dam leh tur a ni. Chuvang chuan natna bul tanna chu uluk taka enkawl a pawimawh hle.

`Cor Pulmonale` hi ven theih a ni em?

Ni e, `Cor Pulmonale` thlentu lung natna te pumpelh hian `Cor Pulmonale` pawh i veng thei bawk. I risk tihziaawmna tur chu:

• Zuk leh hmuam leh cigarette hi pumpelh vek tur a ni. Midang zukna hmuna awm pawh a tha lo.
• Boruak bawlhhlawh hi pumpelh rawh. A theih ang angin boruak thianghlim awmna hmunah awm rawh.
• Pulmonary hypertension thlentu thilte chu pumpelh rawh.
• Lung natna i neih chuan rang tak leh uluk takin enkawl rawh. I damdawi chu i doctor-in a tih ang chiah khan ei la, a thupekte chu zawm rawh.

Engtin nge ka in enkawl ang?

`Cor Pulmonale` i neih chuan i inenkawl a pawimawh hle.

• Doctor-in a pek damdawi dik tak leh a hun takah ei tur a ni. Ni khat pawh lo tlai tawh suh.
• Follow-up appointment zawng zawng chu i doctor hnenah vawng reng ang che. Zawhna i neih chuan zawh hreh suh.
• Zuk leh hmuam i hman chuan tunah hian titawp rawh. I doctor hnenah tanpuina dil rawh.
• Insawizawi. Mahse, i doctor hnenah eng exercise nge i tan a tha tih leh eng chen nge i tih tur tih zawt rawh.
• Flu emaw, lung natna dang emaw laka invenna vaccine la rawh.

`Cor Pulmonale` i neih lai hian i ei leh in theih loh thil a awm em?

I doctor chuan chi leh tui (tui, tea, coffee, leh thei tui ang chi) i in zat tihtlem a duh mai thei. Hei hi a chhan chu chi leh tui tam lutuk hian i taksain tui a vawng reng thei a, a hring a tipung thei bawk. Chuvangin, i doctor thupek ang chiah kha zawm rawh.

Engtikah nge ka doctor ka hmuh ang?

`Cor Pulmonale` vangin damdawi inah dah i nih chuan `Cardiologist` leh `Pulmonologist` i hmuh a ngai dawn a ni. Kar khat emaw kar hnih emaw hnuah lo kal leh turin an ti mai thei che. I natna lan chhuah danah danglamna a awm a nih chuan, entirnan, thawk harsatna i neih chuan, i ke a hring tam zawk emaw, i rilru a na emaw a nih chuan doctor pan nghal tur a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

`Cor Pulmonale` chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan doctor zawt rawh. Entir nan:

• Eng thilin nge `Cor Pulmonale` ka neih chhan?
• Eng enkawlna nge ka tan a tha ber?
• Ka dinhmun tur chu eng nge ni ang?
• Eng chen nge ka tih theih ang a, eng ang exercise nge ka tih theih ang?
• Hetiang dinhmuna dingte tanpui thin support group an awm em?

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

`Cor Pulmonale` hi lung natna a ni a, thinlung ventricle dinglam chu a lianin a chak lo hle. Nitin hna thawh harsa ti thei dinhmun i neih hian lungngaihna leh lungngaihna i neih hi thil pangngai a ni. Chutiang hunah chuan chhungte leh thiante hnen atangin tanpuina dil hreh suh.

I doctor chuan i tana tha tur enkawlna kawng hrang hrang a hrilhfiah ang che. `Cor Pulmonale` chungchanga i hriatthiam loh thil a awm a nih chuan zawt hreh suh. Hriat chian hmasak a nih chuan, enkawlna dik tak i neih chuan, leh nunphung i thlak danglam chuan he natna hi i nei thei a ni. `Cor Pulmonale` laka inven dan tha ber chu zuk leh hmuam bansan vek a, lung natna enkawl hmasak hi a ni.

` Cor Pulmonale, Right-Sided Heart Failure, Lung Disease, Lung natna, Thâwk harsa, COPD, Pulmonary Hypertension, Pulmonary Hypertension